Amato, Lisa Marie

Amato, Lisa Marie is an individual health care provider with primary practice located at 14677 Merrill Ave , Fontana CA 92335. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Amato, Lisa Marie can be contacted via phone (951) 643-2340.

Contact Information

Primary practice address
14677 Merrill Ave Fontana CA 92335
Phone: (951) 643-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 596871 California

Profile Details

NPI number 1740756329
LBN Legal business name Amato, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2018
Last updated Oct 22nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740756329 NPPES
California MEDICAID 941735271

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